学術雑誌論文

学術雑誌論文

text

Orthodontic Waves. 2020, 79(2/3), p. 127-134

Surgical and orthodontic approach for a patient with a severely constricted maxillary arch caused by bilateral cleft lip and palate

Taylor and Francis Ltd

英語

text

2020-04-20

https://doi.org/10.1080/13440241.2020.1751456

This is an Accepted Manuscript of an article published by Taylor & Francis in Orthodontic Waves 79 on 20 Apr. 2020, available at https://doi.org/10.1080/13440241.2020.1751456.

Purpose: Cleft lip and/or palate (CLP) is one of the most frequent craniofacial defects that could happen in 1/500 to 1/1000 live birth depending on different racial background. Among different patterns of facial cleft, complete bilateral cleft lip and palate (BCLP) is one of the most challenging cases for orthodontic and surgeons because of their deformed maxillary dental arch and severe skeletal discrepancy. It is also well known that CLP could occur as part of the phenotype in certain congenital diseases. However, from its extremely diversified phenotypic combination, some of the cases that we encounter remains difficult to diagnose. From these reasons, it is important to continuously report the outcome of orthodontic treatment in such cases which exhibit syndromic phenotypes with CLP.Material and Methods: In the present case report, an 18-year-old man with complete bilateral cleft lip and palate, skeletal Class III and open-bite with maxillary constriction, in addition to hypospadias, bubonocele, opisthotonus, and hypertonia was treated with edgewise appliance therapy combined with orthognathic surgery. The treatment began with surgically assisted rapid palatal expansion (SARPE) in anteroposterior and transverse dimensions with a three-way expander to increase the maxillary anteroposterior length and width. After the expansion, the patient underwent Le Fort I osteotomy and bilateral sagittal split osteotomy to correct skeletal Class III and open bite.Results and Conclusion: At the end of the surgical and orthodontic treatments, functional occlusion and an improved facial profile were achieved. We also discuss his diverse general phenotype due to his congenital disease.

This is an Accepted Manuscript version of the following article, accepted for publication in Orthodontic Waves. Oka A., Kurosaka H., Nakatsugawa K., et al. Surgical and orthodontic approach for a patient with a severely constricted maxillary arch caused by bilateral cleft lip and palate. Orthodontic Waves 79(2/3), pp. 127-134 (2020). It is deposited under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited.

103596

Surgical and orthodontic approach for a patient with a severely constricted maxillary arch caused by bilateral cleft lip and palate

Taylor and Francis Ltd

英語

2020-04-20

Orthodontic Waves

79

2/3

127

134

https://doi.org/10.1080/13440241.2020.1751456

https://hdl.handle.net/11094/103596